Lake Oswego, OR · 2025-10-09

OSHA Injury Report: Pence/Kelly Construction LLC

Injury · Other recordable case

At a glance

On 2025-10-09, an injury at Pence/Kelly Construction LLC in 5400 Meadows Rd. Suite 450, Lake Oswego, OR 97035 resulted in other recordable case. Employee was carpenter Apprentice in footing and foundation concrete contractors.

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Where did this happen?

Establishment: Pence/Kelly Construction LLC
Parent company: Pence/Kelly Construction LLC
Street: 5400 Meadows Rd. Suite 450
City: Lake Oswego
State: OR
ZIP: 97035
On-site location: Colo 5

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)

Before the incident

Employee was setting form work at the west end of [REDACTED] for a 4 foot tall stem wall at the perimiter of the building.

What happened

As the employee bent down to grab and lift a piece of form he twisted at his spine. As soon as he did he felt a pop and felt a shooting pain in his lower back

Injury or illness

strained back

Object or substance involved

piece of form

Summary line

Lower back pain

Employee and industry

Job description: Carpenter Apprentice
SOC code: 47-2031: Carpenters
NAICS code: 238110: Footing and foundation concrete contractors
NAICS vintage: 2012
Employees at this establishment (2025 average): 180
Hours worked at this establishment (2025 total): 375,453
EIN: 931306097
Establishment ID: 821388
Employer case #: 8

When (timing detail)

Date of incident: 2025-10-09
Shift started: 06:00
Time of incident: 08:00
Filing year: 2025
Submitted to OSHA: 2026-01-30

More injuries at Pence/Kelly Construction LLC

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View Pence/Kelly Construction LLC's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.

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